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More than 2.3 million people in Ohio are signed up for Medicare, making it the sixth-largest U.S. state for Medicare beneficiaries.
Medicare is the government health care program for people age 65 and older. Medicare Advantage is an all-in-one alternative to Medicare that offers all the same benefits and usually some extras, such as dental and vision coverage.
Medicare Advantage plans offer more benefits than Original Medicare, and they are often cheaper than paying for Medicare and a Medicare Supplement plan, but they offer less flexibility since you’ll need to get care from within the plan’s network of providers. Weigh your options to determine what plan best suits your needs.
What to know about Medicare in Ohio
With about 1 in 6 people in Ohio being over 65, the state offers a variety of Medicare and Medicare Advantage plans.
The average monthly premium in 2021 for a Medicare Advantage plan in Ohio is $20.69.
There are 202 Medicare Advantage plans available in Ohio in 2021. (This is up from 178 plans in 2020.)
All Medicare-eligible people in Ohio have access to a $0-premium Medicare Advantage plan.
Medicare Advantage providers in Ohio
Health Alliance Medicare.
Medical Mutual of Ohio.
Paramount Elite Medicare Plans.
PrimeTime Health Plan.
SummaCare Medicare Advantage Plans.
The Health Plan.
UPMC for Life.
Top-rated Medicare Advantage plans in Ohio
Each year, the Centers for Medicare & Medicaid Services, or CMS, awards every Medicare Advantage plan a star rating on a scale of 1 to 5, with 5 being a top-rated plan. There aren't any 5-star Medicare Advantage plans in Ohio, but below are plans that received the best ratings in the state for the 2021 plan year. (Check out more information about Medicare star ratings.)
The plans below are rated 4.5 stars out of 5 by the CMS:
Medical Mutual of Ohio: MedMutual Advantage Preferred, MedMutual Advantage Premium, MedMutual Advantage Select. PrimeTime Health Plan: PrimeTime Health Plan Aultimate, PrimeTime Health Plan Basic - MA Only, PrimeTime Health Plan Classic, PrimeTime Health Plan Plus.
How to choose a Medicare Advantage plan
It’s crucial to ask a few questions while shopping for the right plan for you. Here’s a quick checklist to help you consider your options:
How much are the plan’s costs? Do you understand what the plan’s premium, deductibles, copays and/or coinsurance will be? Can you afford them?
Is your doctor in-network? If you have a preferred doctor (or doctors) or hospital, make sure they participate in the plan’s network.
Are your prescriptions covered? If you’re on medication, understand how the plan covers it. What tier are your prescription drugs on, and are there any coverage rules that apply to them?
Is there dental coverage? Does the plan offer routine coverage for vision, dental and hearing needs?
Are there extras? Does the plan offer any extra perks, such as fitness memberships, transportation benefits or meal delivery?
You can use Medicare’s Plan Finder to compare plans in your area.
Medicare Advantage providers
Get more information below about some of the major Medicare Advantage providers:
If you have additional questions about Medicare, visit Medicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).